不同影像学检查方法在乳腺癌早期诊断及乳腺良恶性疾病鉴别诊断中的意义

Different Imaging Examination Method in Breast Cancer Early Diagnosis and Differential Diagnosis of Benign and Malignant Disease

目的探讨在乳腺癌早期检查和乳腺良恶性疾病鉴别诊断中不同影像学检查方法的诊断效果。方法选取2014年7月~2015年8月在接受诊疗的58例乳腺癌和58例乳腺良性疾病患者,以病理检验结果作为判断依据,分别对患者进行钼靶检查、超声检查以及两种结合检查,比对不同检验手段诊断乳腺良恶性疾病符合率和临床诊断乳腺癌的情况。结果两者联合诊断乳腺良恶性疾病符合率明显好于两则中的任意一种诊断结果;X线组与超声组在敏感度、特异性和准确度上相比无明显差异;两者联合检查的敏感度、特异性和准确度明显好于单一检查,差异具有统计学意义（P〈0.05）。结论联合使用超声和钼靶对检查于诊断乳腺良恶性疾病更具有优势,可以准确诊断出疾病,为了患者接受治疗提供有效的依据,可以作为临床诊断乳腺癌的主要手段。

Objective To study the different imaging examination method for early diagnosis in breast cancer and the effect of disease in the differential diagnosis. Methods Selected in July 2014 to August 2015, diagnosis and treatment of 58 cases of breast cancer and 58 patients with benign diseases, for molybdenum target inspection, ultrasonic inspection, and two kinds of combination, the comparison of different testing method. Results Both joint diagnosis of benign and malignant breast diseases diagnosis coincidence rate is higher than other two methods; Sensitivity, specificity and accuracy is much better than the single inspection, obvious difference（P 0.05）. Conclusion Combined use of ultrasonography and mammography in the diagnosis of mammary gland benign and malignant diseases has more advantages, can be used as a major means of clinical diagnosis of breast cancer.